Anousone Inthirath

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTP-OTA-LIC-10547 Issued in MT

Practice address

670 S Dahlia Cir Apt R-306
Denver, CO 80246-3303

Phone

(904) 207-2991

NPI assigned

Dec 31, 2015

Last updated

Jun 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Rehab Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1962734210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1972968287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 EDGEWOOD PL UNIT 103",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373479",
            "telephone_number": "904-207-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 S DAHLIA CIR APT R-306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463303",
            "telephone_number": "904-207-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTHIRATH",
        "first_name": "ANOUSONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "OTP-OTA-LIC-10547",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Wellness LLC
• Internal Medicine, Pulmonary & Critical Care Associates, LLP
• International Optique Inc
• International Pain Solutions, Inc.
• Intersection Counseling LLC
• Intraops Neuromonitoring, LLC (Ion)
• Intrepid Mental Wellness, PLLC
• Introspective Family Wellness Denver (Introspective Family Therapy Denver)
• Intuitive Balance Acupuncture LLC
• Inure, PLLC (Inure Counseling)

• Occupational Therapy Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.